FY 2025 SAC/SAC-AA Application Eligibility Summary

ELIGIBILITY REQUIREMENT	DOCUMENTATION
1. Your organization must be a private, non-profit entity or a public agency in the United States or its territories. Tribal and urban Indian organizations may apply. Note: Refer to Chapter 1: Health Center Program Eligibility of the Compliance Manual.	Attachment 11: Evidence of Nonprofit or Public Center Status (new applicants)
2. Your organization must provide all required health services available and accessible in the service area without regard for ability to pay. You may not propose to provide only a single service or any subset of the required primary health care services. Note: Refer to the Service Descriptors for Form 5A: Services Provided, for details regarding required primary health care services.	Project Narrative: RESPONSE section Form 5A: Services Provided (PDF - 131 KB) (Columns 1, 2, and 3)
3. Your organization must provide General Primary Medical Care directly or through contracts the health center pays for.	Form 5A: Services Provided (PDF - 131 KB) (Columns 1 and 2)
4. Your organization must perform a substantive role in the project.	Budget Narrative Attachment 2: Bylaws Form 5A: Services Provided (PDF - 131 KB) (Column 1) Form 8: Health Center Agreements and its attachments
5. You must make services accessible to all. You may not propose to serve only a single age group or address a single health issue or disease. If you propose a site which targets only a sub-population (for example, a school-based site), you must explain how you will make all required services available to the entire underserved population in the service area.	Project Narrative: RESPONSE section
6. Your organization must provide continuity of care to patients in an announced service area. You must:	Service Area ID number on the Summary Page (PDF - 204 KB)
Patients: Project to serve at least 75% of the Service Area Announcement Table (SAAT) Patient Target.	The total number of unduplicated patients for calendar year 2026 (January 1 – December 31, 2026) on Form 1A: General Information Worksheet (PDF - 220 KB)
Services: Project to serve patients in all the service types listed on the SAAT (for example, Medical, Dental, Mental Health, Substance Abuse, Vision, Enabling).	The patients listed for each service type on Form 1A: General Information Worksheet (PDF - 220 KB)
Service Area ZIP Codes: (New or Competing Supplement Applicants) Enter ZIP Codes for service delivery sites that include a combination of SAAT Service Area ZIP Codes in which patient percentages total at least 75%. If the sum of all ZIP Code patient percentages is less than 75%, you must include all SAAT Service Area ZIP Codes for the proposed service area. Current Service Area ZIP Codes will auto-populate for Competing Continuation applicants.	The ZIP Codes listed on Form 5B: Service Sites (PDF - 175 KB) (we will not consider administrative-only sites) Note: We consider service area overlap when making funding determinations for new or competing supplement applicants if you propose ZIP Codes on Form 5B: Service Site (PDF - 175 KB)s that the SAAT does not list. For more information about service area overlap, refer to Policy Information Notice 2007-09. (PDF - 837 KB)
Special Populations: Propose to maintain services to all currently served population types (Community Health Centers (CHC), Migrant Health Centers (MHC), Health Care for the Homeless (HCH), Public Housing Primary Care (PHPC). You will do this by maintaining the funding distribution of those population types listed in the SAAT where the funding level is not $0.	The funding distribution on the SF-424A: Budget Information Form (PDF - 176 KB).
7. New or competing supplement applicants must propose at least one new full-time (open at least 40 hours per week) permanent, fixed building service site. Note: Policy Information Notice 2008-01: Defining Scope of Project and Policy for Requesting Changes (PDF - 224 KB) describes and defines the term “service sites.” If you propose to serve only migratory and seasonal agricultural workers, you may propose a full-time seasonal (rather than permanent) service site.	The valid street address for each proposed site on Form 5B: Service Sites (PDF - 175 KB) and the proposed hours of operation for each site
8. PUBLIC HOUSING PRIMARY CARE APPLICANTS: New or competing supplement applicants applying for PHPC funding must show that you consulted with public housing residents as you plan your new site(s). You must also explain how you will have ongoing input from public housing residents.	Project Narrative: COLLABORATION section
9. HEALTH CARE FOR THE HOMELESS AND PUBLIC HOUSING PRIMARY CARE APPLICANTS: New or competing supplement applicants applying for HCH or PHPC funding must use this funding to supplement, and not supplant, the expenditures of the health center and the value of in-kind contributions for the delivery of services to these populations.	Attestation on Summary Page (PDF - 204 KB)
Other – Request annual funding that does not exceed the ceiling amount for the service area (Total Funding available in the SAAT)	SF-424A: Budget Information Form (PDF - 176 KB) Budget Narrative
Other – Submit all documents we require for your application type	Project Narrative as NOFO describes Attachment 6: Co-Applicant Agreement (new public center applicants that have a co-applicant board) Attachment 11: Evidence of Nonprofit or Public Center Status (new applicants)
Other – Apply by the deadlines in grants.gov and EHBs	Refer to Section IV.4 of the NOFO

Fecha de la última revisión:

May 2024